Evaluating performance and availability of rehabilitation services in medical rehabilitation centers in Ethiopia through a national level assessment 2024

Background: Rehabilitation services are vital for improving the quality of life and functional independence of individuals with disabilities. These services require a multidisciplinary approach but face challenges such as staff burnout, low salaries, and management inefficiencies. Objective: This national assessment aimed to evaluate the performance and availability of rehabilitation services across 11 medical rehabilitation centers (MRCs) in Ethiopia in 2024. Methods: Using a standardized tool with key performance indicators (KPIs), the study assessed domains including leadership, infrastructure, service delivery, supply chain, health financing, and monitoring and evaluation (M&E). Data were collected via facility inventory questionnaires and analyzed descriptively. Results: Infrastructure, machinery, and equipment scored highest nationally (86%), followed by leadership and supply chain (53%). Human resources, services, and health financing scored around 49–50%, while M&E was lowest at 39%. Notable performers included Mekelle MRC in infrastructure and supply chain, Dessie and Assela in human resources, and Bahirdar and Dessie in M&E. Conversely, Jigjiga, Gambella, and Harar MRCs scored poorly across most domains. Conclusion: While infrastructure and supply chain management show strong performance, significant improvements are needed in human resources and M&E. Targeted interventions are recommended to enhance service delivery, especially in underperforming centers. Keywords: Rehabilitation services, medical rehabilitation centers DOI: 10.7176/JHMN/120-02 Publication date: March 30th 2026